FOUR RIVERS INTERNAL MEDICINE, PLLC
Organization (NPI-2)
Active
Internal Medicine
Provider Information
- NPI Number
1912992421- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3131 PARISA DR, PADUCAH, KY, 420034584
- Phone
- (270) 444-8000
- Fax
- (270) 444-8000
Specialties & Taxonomies
Nurse Practitioner, Family
License: KY #6224S
Nurse Practitioner, Family
License: KY #5660P
Internal Medicine
Primary License: KY #21063